Confidential Information Report

This form is treated in COMPLETE confidence. Only put your personal details if you agree for an investigator to contact you if further details are required. Further information may be necessary to process the suspected fraud.


This area is for details of the suspected fraud

 

Details of the suspected Fraud:
Please include a summary of the incident, location, exact details of the property or valuables associated with the claim and any other information you feel will assist in identifying the claim and why you feel it it is fraudulent.)

Thank you completing this form. Insurance fraud is a serious offence and a crime. We will use this information to make investigations with insurers who may take further action if necessary.

Insurance Fraud Hotline – FREEPHONE 0508 372 835

"Insurance fraud, the crime everyone pays for"